Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literature
It is impossible to predict underlying anomalies in acute large vessel occlusion and it could be a problem when performing mechanical thrombectomy (MT). We report a case of MT for occlusion of the fenestrated middle cerebral artery (MCA) M1 segment. A 49-year-old woman presented to our hospital with...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324000712 |
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| author | Kiyonori Kuwahara, MD, PhD Ichiro Nakahara, MD, PhD Shoji Matsumoto, MD, PhD Yoshio Suyama, MD, PhD Jun Morioka, MD, PhD Akiko Hasebe, MD, PhD Jun Tanabe, MD, PhD Sadayoshi Watanabe, MD, PhD Kenichiro Suyama, MD, PhD Yuichi Hirose, MD, PhD |
| author_facet | Kiyonori Kuwahara, MD, PhD Ichiro Nakahara, MD, PhD Shoji Matsumoto, MD, PhD Yoshio Suyama, MD, PhD Jun Morioka, MD, PhD Akiko Hasebe, MD, PhD Jun Tanabe, MD, PhD Sadayoshi Watanabe, MD, PhD Kenichiro Suyama, MD, PhD Yuichi Hirose, MD, PhD |
| author_sort | Kiyonori Kuwahara, MD, PhD |
| collection | DOAJ |
| description | It is impossible to predict underlying anomalies in acute large vessel occlusion and it could be a problem when performing mechanical thrombectomy (MT). We report a case of MT for occlusion of the fenestrated middle cerebral artery (MCA) M1 segment. A 49-year-old woman presented to our hospital with dysarthria and left hemiparesis. Acute ischemic stroke due to right occluded MCA was diagnosed. During performing emergent MT, a part of the M1 segment was revealed to be slit-shaped by digital subtraction angiography, suggesting a fenestrated MCA. The aspiration catheter could not be advanced through the narrow limb of the fenestration, and the distal thrombus was retrieved using a stent retriever, additionally. Postoperatively, the patient's symptoms improved without complications. When occlusion of the fenestrated MCA is suspected, it is necessary to consider converting the strategy from an aspiration catheter alone to the combined use of a stent retriever. |
| first_indexed | 2024-03-08T00:50:20Z |
| format | Article |
| id | doaj.art-c3f4af47fae74586a8b0581c7679db2c |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:12:56Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c3f4af47fae74586a8b0581c7679db2c2024-03-10T05:11:47ZengElsevierRadiology Case Reports1930-04332024-05-0119516921696Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literatureKiyonori Kuwahara, MD, PhD0Ichiro Nakahara, MD, PhD1Shoji Matsumoto, MD, PhD2Yoshio Suyama, MD, PhD3Jun Morioka, MD, PhD4Akiko Hasebe, MD, PhD5Jun Tanabe, MD, PhD6Sadayoshi Watanabe, MD, PhD7Kenichiro Suyama, MD, PhD8Yuichi Hirose, MD, PhD9Department of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan; Corresponding author.Department of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Comprehensive Strokology, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanDepartment of Neurosurgery, School of Medicine, Fujita Health University, Toyoake, Aichi, JapanIt is impossible to predict underlying anomalies in acute large vessel occlusion and it could be a problem when performing mechanical thrombectomy (MT). We report a case of MT for occlusion of the fenestrated middle cerebral artery (MCA) M1 segment. A 49-year-old woman presented to our hospital with dysarthria and left hemiparesis. Acute ischemic stroke due to right occluded MCA was diagnosed. During performing emergent MT, a part of the M1 segment was revealed to be slit-shaped by digital subtraction angiography, suggesting a fenestrated MCA. The aspiration catheter could not be advanced through the narrow limb of the fenestration, and the distal thrombus was retrieved using a stent retriever, additionally. Postoperatively, the patient's symptoms improved without complications. When occlusion of the fenestrated MCA is suspected, it is necessary to consider converting the strategy from an aspiration catheter alone to the combined use of a stent retriever.http://www.sciencedirect.com/science/article/pii/S1930043324000712CathetersMechanical thrombolysisMiddle cerebral arteryStentsThrombectomyVascular access devices |
| spellingShingle | Kiyonori Kuwahara, MD, PhD Ichiro Nakahara, MD, PhD Shoji Matsumoto, MD, PhD Yoshio Suyama, MD, PhD Jun Morioka, MD, PhD Akiko Hasebe, MD, PhD Jun Tanabe, MD, PhD Sadayoshi Watanabe, MD, PhD Kenichiro Suyama, MD, PhD Yuichi Hirose, MD, PhD Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literature Radiology Case Reports Catheters Mechanical thrombolysis Middle cerebral artery Stents Thrombectomy Vascular access devices |
| title | Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literature |
| title_full | Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literature |
| title_fullStr | Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literature |
| title_full_unstemmed | Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literature |
| title_short | Mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery M1 segment: A case report and review of the literature |
| title_sort | mechanical thrombectomy for occlusion of the fenestrated middle cerebral artery m1 segment a case report and review of the literature |
| topic | Catheters Mechanical thrombolysis Middle cerebral artery Stents Thrombectomy Vascular access devices |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324000712 |
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